Evaluation of aortic regurgitation after transcatheter aortic valve implantation: aortic root angiography in comparison to cardiac magnetic resonance

EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
Michael FrickRainer Hoffmann

Abstract

Aortic regurgitation (AR) is common after transcatheter aortic valve implantation (TAVI). Intraprocedural assessment of AR relies on aortic root angiography. Cardiac magnetic resonance (CMR) phase-contrast mapping of the ascending aorta provides accurate AR quantification. This study evaluated the accuracy of AR grading by aortic root angiography after TAVI in comparison to CMR phase-contrast velocity mapping. In 69 patients with TAVI for severe aortic stenosis, post-procedural AR was determined by aortic root angiography with visual assessment according to the Sellers classification and by CMR using phase-contrast velocity mapping for analysis of AR volume and fraction. Spearman's correlation coefficient showed a moderate correlation between angiographic analysis of AR grade and CMR-derived AR volume (r=0.41; p<0.01) as well as AR fraction (r=0.42; p<0.01). There was significant overlap between the angiographic Sellers classes compared to CMR-derived AR fractions. Aortic root angiography with cut-off Sellers grade ≥2 had a sensitivity of 71% and a specificity of 98% to detect AR graded as moderate to severe or severe as defined by CMR. There is only a moderate correlation between aortic root angiography and CMR in the classifi...Continue Reading

References

Apr 1, 1976·Circulation·L M ZirJ W Harthorne
Aug 1, 1987·European Heart Journal·P L MichelJ Acar
Apr 1, 1993·American Heart Journal·L SøndergaardO Henriksen
Oct 18, 2005·Journal of the American College of Cardiology·Manesh R PatelUNKNOWN American College of Cardiology Foundation
Jan 27, 2009·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Bahar PiratWilliam A Zoghbi
May 16, 2009·Journal of the American College of Cardiology·Marie-Annick ClavelJosep Rodés-Cabau
Oct 22, 2010·The New England Journal of Medicine·Martin B LeonUNKNOWN PARTNER Trial Investigators
Nov 6, 2010·Journal of the American College of Cardiology·Mohammad A SherifGert Richardt
Mar 15, 2011·Heart·Mohamed Abdel-WahabUNKNOWN German transcatheter aortic valve interventions registry investigators
May 10, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Mohammad A SherifGert Richardt
Jul 28, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Kensuke TakagiAntonio Colombo
Dec 24, 2011·International Journal of Cardiology·Leopoldo Perez de IslaCarlos Macaya
Mar 27, 2012·The New England Journal of Medicine·Susheel K KodaliUNKNOWN PARTNER Trial Investigators
May 4, 2012·The New England Journal of Medicine·Martine GilardUNKNOWN FRANCE 2 Investigators
Aug 28, 2012·European Heart Journal·UNKNOWN Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC)Marian Zembala
Oct 2, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·A Pieter KappeteinUNKNOWN Valve Academic Research Consortium-2
Dec 22, 2012·JACC. Cardiovascular Interventions·Kentaro HayashidaMarie-Claude Morice

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Citations

May 7, 2016·JACC. Cardiovascular Imaging·Toby Rogers, Ron Waksman
Apr 15, 2016·European Heart Journal·Mohammad AbdelghaniPatrick W Serruys
Oct 11, 2016·Revista Española De Cardiología·César MorísPablo Avanzas
Jul 19, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Nader MakkiScott Lilly
Feb 6, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Xianbao LiuJian'an Wang
Jul 23, 2020·European Heart Journal Supplements : Journal of the European Society of Cardiology·Andrea ŠirákováViktor Kočka
Jun 14, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Justin TengCarl Schultz
Nov 21, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Rodrigo ModoloPatrick W Serruys
May 22, 2018·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Ramón Rodríguez-OlivaresNicolas M Van Mieghem
May 5, 2021·Expert Review of Cardiovascular Therapy·Mitsunobu KitamuraMohamed Abdel-Wahab

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